Diabetes & Endocrine Center
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Diabetes & Endocrine Center

It is likely you or someone you know has been touched by the diabetes epidemic in this country, and the snapshot of this disease in Monterey County is alarming.  Almost 10-percent of the population is already diagnosed with diabetes and 30-percent are pre-diabetic.  It is estimated that new diabetes cases over the next five years will increase 15 to 30-percent.  Imagine the potential impact of successfully controlling this condition.  It could mean fewer hospital admissions and emergency room visits - and most importantly, a healthier population.

The Salinas Valley Medical Clinic Diabetes & Endocrine Center has developed a comprehensive diabetes management and prevention program using evidence-based, best practices including education and nutrition support, family support, and community outreach, all while meeting the cultural needs of our diverse community.

Our staff has specialized training in caring for people with diabetes.  Our goal is to educate and support you and your family.  We will help you learn self-management skills to improve your health and quality of life and reduce your risk of diabetes related problems.  Today we know a lot about living well with diabetes and this is great news.  By understanding diabetes and making good choices, you can live your life to the fullest.

The Basics Of Diabetes

To get energy, your body breaks food down into a fuel called “glucose” (blood sugar). To use this fuel, your body needs the hormone insulin, which is made in the pancreas. Insulin is the “key” that unlocks the door and lets glucose into your cells. When you have diabetes, either your “keys” do not work well or you’ve lost your “keys” altogether. Without treatment, diabetes can cause serious short-term and long-term health problems.


The Main Types of Diabetes


When you have Type 1 diabetes, your body no longer makes insulin; you've lost your "keys."  Without insulin, blood sugar (glucose) builds up outside your cells, and as a result your cells do not get the energy they need to work right.  People with this type of diabetes are insulin dependent; they require insulin to live.

It is important to understand that Type 1 diabetes can happen at any age, but is slightly more common in children and young adults.  The good news is that insulin can be replaces and along with education, diet and exercise, people with Type 1 diabetes can live a healthy life.


With Type 2 diabetes - the most common type of diabetes - your cells do not respond in the right way to insulin; your "keys" have a hard time opening the doors to your cells.  This problem is called "insulin resistance."  As a result of this resistance, your cells do not get enough energy.  Blood sugar (glucose) levels build up outside the cells.  People with this type of diabetes may be able to manage their diabetes with a healthy diet and exercise only, but need pills and possibly even insulin to keep blood sugar levels as close to normal as possible.

Type 2 diabetes happens most often in adults, but unfortunately, more and more children are being diagnosed with Type 2 diabetes every day.  A healthy diet, exercise and education is very important in Type 2 diabetes, and some people may also require medication to keep blood sugar (glucose) levels as close to normal as possible. While there's no cure, you can manage your diabetes and have a healthy life.

We are here to help

What kind of diabetes do I have?  How do I check my blood sugars?  What's the best food to eat?  Help, I'm low!  What should I do?  What can I do so I take fewer pills, not more?  How do I prevent diabetes problems?  How do I manage it all?  If you've got diabetes questions, then we've got your answers!  Diabetes is so much more than taking a pill or eating less sugar!  We have a series of diabetes classes, which cover a wide range of topics to help you understand your diabetes and provide you with the skills you need to live healthy and well with diabetes.

Beginning this past February, 2015, The Diabetes & Endocrine Center at Salinas Valley Medical Clinic, has held monthly classes to help educate and help answer questions for people with diabetes.  Each series of classes consists of 4 classes, 2 hours each.  Please join us for our upcoming series, which will be held the first Tuesday of each month.

Download our patient brochure

Descargue nuestro folleto paciente en español

The Diabetes & Endocrine Center Team

  • Nicolas Kissell, MD - Medical Director
  • Susan Healy, FNP-BC, CDE - Nurse Practitioner
  • Esther Perez, PA-C, CDE - Physician Assistant
  • Guadalupe Castillo, RN, CDE - Diabetes Educator
  • Dana Armstrong, RD, CDE - Director of Diabetes Services
  • Sahra Morales, MA - Medical Assistant
  • Consuelo Oros, MA - Medical Assistant
  • Xochil Nunez, MA - Medical Assistant
  • Jason Rios, CCMA - Medical Assistant

Contact Us

1033 Los Palos Drive, Suite A
Salinas, CA  93901
Phone (831) 757-2058
Fax (831) 757-0232